Chapter 3

Question 1

What is the largest racial and ethnic minority in the U.S. ?

Answer 1

Hispanic / Latino

Question 2

List and link disease states and populations affected within the context of health disparities.

Answer 2

Obesity: Women (hispanics are the highest)

HIV/AIDS: African Americans are the highest

Coronary heart diseases: African Americans are the highest

Question 3

List factors considered determinants of health

Answer 3

1. Race
2. Socioeconomic Status
3. Health Practices
4. Psychosocial Stressors
5. Lack of Resources (ability to pay)
6. Environmental Exposures
7. Discrimination
8. Public policy (clean air, safe communities)
9. Access to Healthcare, (Insurance, transportation)

Question 4

Describe the “Healthy People 2020” objectives

Answer 4

Achieve health equity, eliminate disparities, and improve health of all groups

Question 5

Describe acculturation:

Answer 5

When people migrate to live in a different and dominant culture

and

Adopt the beliefs and behaviors of the dominant group yet still value and practice their own traditional beliefs and behaviors within their group

Question 6

Describe assimilation:

Answer 6

Persons who adopt the new host culture but let go of their original home culture

Question 7

List barriers to cultural competency when helping patients navigate self-care choices

Answer 7

1. Fear and mistrust
2. Language – access to interpreter line
3. Literacy and Health Literacy
4. Social or personal experiences
5. Difference in beliefs

Question 8

Explain the teach-back method

Answer 8

“Tell me in your own words how you are going to take the medicine”

Question 9

Describe the use of the L.E.A.R.N. and the 4C’s

Answer 9

Listen
Explain
Acknowledge
Recommend
Negotiate 

Call
Cause
Cope
Concern